Abstract: 【Abstract】 Objective〓To explore the surgical effect of endoscope-assisted benign breast tumor removal by the anterior axillary incision. Methods〓Between January 2015 and January 2016 in our hospital, 35 cases of patients with mammary gland fibroma underwent surgery by a endoscope-assisted and one-incision breast tumor resection (observation group). Another 35 cases were recruited as controls and underwent surgery by areola incision (control group). Clinical effect was compared between two groups in operation time, intraoperative blood loss, hospital stay and postoperative complications. Results〓Two groups of patients were successfully completed, there were no postoperative complications such as skin ecchymosis and subcutaneous effusion. Observation group had advantage over control group in the operation time, intraoperative blood loss, length of incision and incision to the focal distance, length of hospital stay. Conclusion〓Endoscope-assisted anterior axillary incision for benign breast surgery has better clinical efficacy than traditional breast surgery procedure.

Key words: Breast surgery, Tumor, Anterior axillary, Removal, Laparoscope

摘要： 【摘要】 目的 探讨经腋前线单切口腔镜辅助乳腺手术切除肿瘤的临床疗效。方法〓选取2015年1月至2016年1月我院收治的70例乳腺纤维瘤患者,按照手术方法的不同将其分为两组,观察组35例患者行经腋前线单切口腔镜辅助乳腺手术切除肿瘤,对照组35例患者经乳晕切口行常规手术,对比两组患者的手术时间、术中出血量、住院时间的手术相关参数以及术后并发症发生率。结果〓两组患者手术均顺利完成,术后均无皮肤淤斑及皮下积液等并发症。观察组患者在手术时间、术中出血量、切口长度、切口至病灶远端的距离、住院时间等手术相关指标上比较均明显优于对照组患者,并具有统计学意义;观察组患者中切口至病灶远端的距离≤8.0 cm的患者在手术时间及术中出血量上均小于切口至病灶远端的距离>8.0 cm患者,P<0.05,其他各项无显著性差异。结论〓经腋前线单切口腔镜辅助乳腺手术切除肿瘤相较于常规乳腺肿瘤切除术具有更好的安全性和临床疗效,患者术后恢复快,并发症发生率低。但采用距病灶过长的通道可能增加损伤。

关键词: 乳腺手术, 肿瘤, 腋前线, 切除, 腹腔镜